Provider Demographics
NPI:1811717192
Name:KHAN, ZOHAIB
Entity type:Individual
Prefix:
First Name:ZOHAIB
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 YOAKUM PKWY UNIT 325
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3807
Mailing Address - Country:US
Mailing Address - Phone:703-203-4117
Mailing Address - Fax:
Practice Address - Street 1:205 YOAKUM PKWY UNIT 325
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3807
Practice Address - Country:US
Practice Address - Phone:703-203-4117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies